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NREMT EMT Exam Syllabus Topics:

SectionObjectives
EMS Operations- Operational Procedures
  • 1. Hazardous Materials Awareness
  • 2. Incident Command
  • 3. Ambulance Operations
  • 4. Communication and Documentation
Airway, Respiration and Ventilation- Airway Management
  • 1. Ventilation Techniques
  • 2. Oxygen Therapy
  • 3. Airway Adjuncts
  • 4. Airway Assessment
Cardiology and Resuscitation- Cardiac Emergencies
  • 1. Shock Management
  • 2. AED Usage
  • 3. Cardiac Arrest Care
  • 4. CPR Procedures
Medical, Obstetrics and Gynecology- Medical Emergencies
  • 1. Respiratory Emergencies
  • 2. Neurological Emergencies
  • 3. Diabetic Emergencies
  • 4. Allergic Reactions
- Obstetrics and Gynecology
  • 1. Pregnancy Emergencies
  • 2. Neonatal Care
  • 3. Childbirth
Trauma- Trauma Assessment and Care
  • 1. Musculoskeletal Trauma
  • 2. Head and Spinal Injuries
  • 3. Burn Management
  • 4. Bleeding Control

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NREMT Emergency Medical Technicians Exam Sample Questions (Q185-Q190):

NEW QUESTION # 185
In order for a plaintiff to recover damages in a lawsuit against an EMT, there must be a duty to perform, breach of duty, damage, and

Answer: C

Explanation:
The correct answer is B. Proximate causation.
To prove negligence in an EMS-related lawsuit, four elements must be established:
Duty to act
Breach of duty
Damages
Causation (proximate cause)
Proximate causation means that the EMT's actions (or inaction) directly caused the patient's injury or damages.
There must be a clear link between the breach of duty and the harm suffered.
A). Contributory neglect # Refers to patient contribution to injury, not a required element C). Malfeasance # Performing a wrongful act, but not one of the four legal elements D). Abandonment # A specific legal violation, not a required negligence element
"Negligence requires duty to act, breach of duty, damages, and causation."
"Proximate cause means the provider's actions directly resulted in injury."
"All four elements must be present to prove negligence."
References:
NREMT EMT Education Standards - EMS Operations (Medical/Legal)
National EMS Education Standards - Legal and Ethical Issues
NREMT Candidate Handbook - Negligence and Liability


NEW QUESTION # 186
When using START triage, which of the following patients would the EMT consider to be a red tag? Select the two answer options that are correct.

Answer: D,E

Explanation:
The correct answers are A and C.
START triage categorizes patients based on respirations, perfusion, and mental status (RPM). A red tag (Immediate) is assigned to patients who have life-threatening conditions that can be rapidly treated.
START Criteria for Red Tag (Immediate):
Respirations > 30/min
Capillary refill > 2 seconds or no radial pulse
Unable to follow commands
Option A: Correct (Red Tag)
The child is unconscious (cannot follow commands) # immediate red classification Capillary refill is 4 seconds ( > 2 seconds) # poor perfusion Meets two red criteria Option C: Correct (Red Tag) Normal respirations (acceptable), BUT Capillary refill is 5 seconds ( > 2 seconds) # indicates poor perfusion/shock This alone qualifies for red tag Why the other options are incorrect:
B). Walking patient # Automatically categorized as green (minor) regardless of other findings D). No breathing after airway repositioning # Classified as black (deceased/expectant), not red E). Cannot walk but follows commands, normal breathing, normal pulse # Yellow (delayed) Exact Extracts:
"Patients who can walk are tagged as minor (green)."
"If capillary refill is greater than 2 seconds, tag the patient as immediate (red)."
"If the patient cannot follow simple commands, tag as immediate."
"If the patient is not breathing after airway repositioning, tag as deceased (black)." References:
NREMT EMT Education Standards - EMS Operations (Triage)
START Triage Guidelines - RPM (Respirations, Perfusion, Mental Status)
NREMT Candidate Handbook - Mass Casualty Incidents


NEW QUESTION # 187
A mountain climber tells you that he came down from a hike because he was coughing up blood. You should suspect

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hemoptysis (coughing up blood)in a physically active person, such as a mountain climber, strongly suggests apulmonary embolism (PE), particularly due to:
* Dehydration
* Prolonged exertion or immobility
* High altitude increasing clot risk
Symptoms may include:
* Shortness of breath
* Chest pain
* Tachypnea
* Hemoptysis
Pulmonary edemagenerally causes pink frothy sputum and is more associated with heart failure.Neoplasm (lung cancer)is possible but much less acute in onset.Spontaneous pneumothoraxcauses dyspnea and pleuritic chest pain but not typically hemoptysis.
References:
NREMT Medical Assessment - Pulmonary and Hematologic Emergencies
AAOS EMT Textbook - Chapter: Respiratory Emergencies
CDC Guidelines - High-Risk Conditions for Pulmonary Embolism


NEW QUESTION # 188
A 17-year-old patient was stung by a bee and is now confused and short of breath. The vital signs are BP 78
/60, P 140, R 26 and shallow, and SpO# 86% on room air. After administering epinephrine, what should the EMT do next?

Answer: A

Explanation:
The correct answer is D. Administer oxygen by non-rebreather mask.
* Anaphylaxis (bee sting)
* Hypotension (78/60) # shock
* Tachycardia (140)
* Low SpO# (86%)
* Shortness of breath
This is a life-threatening allergic reaction requiring aggressive airway and oxygen management.
* Provides high-flow, high-concentration oxygen (up to ~90-95%)
* Indicated for patients with:
* Hypoxia (SpO# < 94%)
* Respiratory distress
* Shock states
* After epinephrine, oxygen therapy is the next immediate step
* A. Closely monitor SpO# # Monitoring alone is insufficient; intervention is needed
* B. Nasal cannula # Delivers low-flow oxygen, inadequate for severe hypoxia
* C. Assist ventilations with BVM # Indicated only if respiratory failure or inadequate breathing, not yet present
* "Administer high-flow oxygen to patients with hypoxia or respiratory distress."
* "Anaphylaxis requires epinephrine and supportive airway/oxygen management."
* "Use a nonrebreather mask for patients requiring high-concentration oxygen." References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
National EMS Education Standards - Allergic Reactions and Anaphylaxis
NREMT Candidate Handbook - Patient Management


NEW QUESTION # 189
You have consulted with on-line medical direction to terminate resuscitation of a 74-year-old female. How should you inform her family of this decision?

Answer: D

Explanation:
The correct answer is A. "She has died."
This question focuses on communication with family members during death notification, a critical component of EMS Operations and patient/family interaction.
NREMT-aligned guidelines emphasize that EMTs must communicate clearly, directly, and compassionately when informing family members of a death. The use of euphemisms (such as "passed," "didn't make it," or
"at peace") is discouraged because they can create confusion or false hope.
Why A is correct:
* The phrase "She has died" is clear, direct, and unambiguous.
* It ensures the family fully understands the situation without misunderstanding.
* It aligns with best practices for delivering death notifications in EMS.
Why the other options are incorrect:
* B. "She has passed.": A euphemism that may soften the message but can be unclear or misinterpreted.
* C. "She didn't make it.": Informal and vague; lacks professionalism and clarity.
* D. "She is at peace.": Indirect and potentially confusing; does not explicitly state death.
Exact Extract (EMT-aligned educational content):
* EMTs should use clear, simple, and direct language when notifying survivors of a death.
* Avoid euphemisms because they may confuse family members or delay their understanding of the reality.
* Communication should be compassionate but honest, ensuring that the message is fully understood.
References:
NREMT National EMS Education Standards - EMS Operations (Death Notification & Family Interaction) EMT Training Curriculum - Special Patient Populations (Death and Dying) National EMS Scope of Practice Model - Professional Communication and Patient Advocacy


NEW QUESTION # 190
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